Functional assessment of feet of patients with type II diabetes

Detalhes bibliográficos
Autor(a) principal: Cardoso, Vinicius Saura
Data de Publicação: 2014
Outros Autores: Magalhães, Alessandra Tanuri, da Silva, Baldomero Antônio Kato, da Silva, Cristiano Sales, Gomes, Dandara Beatriz Costa, Silva, Jefferson Carlos Araujo
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/2329
Resumo: Objective: To evaluate the incidence of functional changes and risk of developing ulcers in type II diabetic patients seen in Primary Healthcare Units (Unidades Básicas de Saúde- UBS). Methods: A cross-sectional, quantitative and descriptive study comprising 80patients with type II diabetes mellitus (DM) aged between 41 to 85 years and attended inthe UBS in the city of Parnaíba-PI. Volunteers responded to the identification form and theMichigan Neuropathy Screening Instrument (MNSI), followed by an evaluation of the lowerlimbs, as follows: achilles and patellar reflex, palpation of arterial pulses (dorsalis pedis and posterior tibial), tactile sensitivity (Monofilament 10g) and vibration sensitivity (128Hz tuning fork); identification of the presence of changes such as ingrown toenails, calluses,claw toes and hair loss. Finally, using the information acquired from the assessment, subjects were classified according to the risk of developing wounds. Results: The sample consisted of 76 diabetic patients, with average age of 63.8 ± 10.4 years, 63 (82.8%) were female, mean diagnostic time 8.8 ± 7.2 years, average body mass index (BMI) 28.2 ± 5.4 kg/m2, with 15.7% of the sample being smokers. The myotatic reflexes and arterial pulses were reduced. Tactile sensitivity was identified in 81.5% and 13.1% did not feel the vibration of the tuning fork. The most dominant changes identified were calluses, 76.3% (n = 58). Risk level 2 of developing ulcers stood out, 52.6% (n = 40). Conclusion: Functional changes were detected in the sample and a classification of risk 2 for developing wounds was found in more than 50% of the assessed patients. doi:http://dx.doi.org/10.5020/18061230.2013.p563
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spelling Functional assessment of feet of patients with type II diabetesEvaluación funcional de los pies de portadores de diabetes tipo IIAvaliação funcional dos pés de portadores de diabetes tipo IIDiabetes MellitusDiabetic NeuropathiesDiabetes Complications.Diabetes MellitusNeuropatías DiabéticasComplicaciones de la Diabetes.Diabetes MellitusNeuropatias DiabéticasComplicações do Diabetes.Objective: To evaluate the incidence of functional changes and risk of developing ulcers in type II diabetic patients seen in Primary Healthcare Units (Unidades Básicas de Saúde- UBS). Methods: A cross-sectional, quantitative and descriptive study comprising 80patients with type II diabetes mellitus (DM) aged between 41 to 85 years and attended inthe UBS in the city of Parnaíba-PI. Volunteers responded to the identification form and theMichigan Neuropathy Screening Instrument (MNSI), followed by an evaluation of the lowerlimbs, as follows: achilles and patellar reflex, palpation of arterial pulses (dorsalis pedis and posterior tibial), tactile sensitivity (Monofilament 10g) and vibration sensitivity (128Hz tuning fork); identification of the presence of changes such as ingrown toenails, calluses,claw toes and hair loss. Finally, using the information acquired from the assessment, subjects were classified according to the risk of developing wounds. Results: The sample consisted of 76 diabetic patients, with average age of 63.8 ± 10.4 years, 63 (82.8%) were female, mean diagnostic time 8.8 ± 7.2 years, average body mass index (BMI) 28.2 ± 5.4 kg/m2, with 15.7% of the sample being smokers. The myotatic reflexes and arterial pulses were reduced. Tactile sensitivity was identified in 81.5% and 13.1% did not feel the vibration of the tuning fork. The most dominant changes identified were calluses, 76.3% (n = 58). Risk level 2 of developing ulcers stood out, 52.6% (n = 40). Conclusion: Functional changes were detected in the sample and a classification of risk 2 for developing wounds was found in more than 50% of the assessed patients. doi:http://dx.doi.org/10.5020/18061230.2013.p563Objetivo: Evaluar la ocurrencia de alteraciones funcionales y el riesgo de desarrollar úlceras en pacientes diabéticos tipo II asistidos en las Unidades Básicas de Salud (UBS). Métodos: Se realizó un estudio transversal, cuantitativo y descriptivo con 80 portadores de diabetes mellitus (DM) tipo II con edad entre los 41 y 85 años que frecuentaban las UBS del municipio de Parnaíba-PI. Los voluntarios contestaron al cuestionario de identificación y al Michigan Neuropaty Screening Instrument (MNSI), seguido de la evaluación de miembros inferiores, siendo: reflejos aquileo y patelar; palpación de los pulsos arteriales (tibial posterior y pedioso); sensibilidad táctil (monofilamento 10g) y vibratória (diapasón 128 Hz); identificación de la presencia de alteraciones como uña enclavada, callosidades, dedos en garra y caída de pelos. Por fin y utilizando las informaciones de la evaluación, los voluntarios fueron clasificados en cuanto al riesgo de desarrollar heridas. Resultados: La muestra fue de 76 diabéticos con media de edad de 63,8±10,4 años, siendo 63 (82,8%) del sexo femenino, con media de tiempo de diagnóstico de 8,8±7,2 años, media Del índice de masa corpórea (IMC) de 28,2±5,4 Kg/m2 con el 15,7% de la muestra de fumantes. Los reflejos miotaticos y pulsos arteriales se presentaron hiporreflejos y disminuidos, respectivamente. La sensibilidad táctil fue identificada en el 81,5%, y el 13,1% no sintieron la vibración del diapasón. Las callosidades fueron lãs alteraciones más prevalentes con el 76,3% (n=58). El riesgo 2 de desarrollar úlceras se sobresalió, el 52,6% (n=40). Conclusión: Se observó alteraciones funcionales en la muestra estudiada y uma clasificación de riesgo 2 para el desarrollo de heridas en más Del 50% de los evaluados. doi:http://dx.doi.org/10.5020/18061230.2013.p563Objetivo: Avaliar a ocorrência de alterações funcionais e o risco de desenvolver úlceras nos pacientes diabéticos tipo II atendidos em Unidades Básicas de Saúde (UBS). Métodos: Realizou-se estudo transversal, quantitativo e descritivo com 80 portadores de diabetes mellitus (DM) tipo II que apresentavam idade entre 41 e 85 anos e frequentavam as UBS do município de Parnaíba-PI. Os voluntários responderam ao questionário de identificação e ao Michigan Neuropathy Screening Instrument (MNSI), seguido da avaliação dos membros inferiores, sendo: reflexos aquileu e patelar; palpação dos pulsos arteriais (tibial posterior e pedioso); sensibilidade tátil (monofilamento 10g) e vibratória (diapasão 128 Hz); identificação da presença de alterações como unha encravada, calosidades, dedos em garra e queda de pelos. Por fim, utilizando as informações adquiridas na avaliação, os voluntários foram classificados quanto ao risco de desenvolver feridas. Resultados: A amostra foi composta por 76 diabéticos, com média de idade de 63,8±10,4 anos, sendo 63 (82,8%) do sexo feminino, com média de tempo de diagnóstico de 8,8±7,2 anos, média do índice de massa corpórea (IMC) de 28,2±5,4 Kg/m2, sendo 15,7% da amostra fumantes. Os reflexos miotáticos e pulsos arteriais apresentaram-se hiporreflexos e diminuídos, respectivamente. A sensibilidade tátil foi identificada em 81,5%, e 13,1% não sentiram a vibração do diapasão. A calosidade foi a alteração mais prevalente em 76,3% (n=58). O risco 2 de desenvolver úlceras se sobressaiu, 52,6% (n=40). Conclusão: Observaram-se alterações funcionais na amostra estudada e uma classificação de risco 2 para desenvolvimento de feridas em mais de 50% dos avaliados. doi:http://dx.doi.org/10.5020/18061230.2013.p563Universidade de Fortaleza2014-09-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/232910.5020/2329Brazilian Journal in Health Promotion; Vol. 26 No. 4 (2013); 563-570Revista Brasileña en Promoción de la Salud; Vol. 26 Núm. 4 (2013); 563-570Revista Brasileira em Promoção da Saúde; v. 26 n. 4 (2013); 563-5701806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/2329/pdfhttps://ojs.unifor.br/RBPS/article/view/2329/pdf_1Cardoso, Vinicius SauraMagalhães, Alessandra Tanurida Silva, Baldomero Antônio Katoda Silva, Cristiano SalesGomes, Dandara Beatriz CostaSilva, Jefferson Carlos Araujoinfo:eu-repo/semantics/openAccess2022-02-16T11:29:36Zoai:ojs.ojs.unifor.br:article/2329Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T11:29:36Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Functional assessment of feet of patients with type II diabetes
Evaluación funcional de los pies de portadores de diabetes tipo II
Avaliação funcional dos pés de portadores de diabetes tipo II
title Functional assessment of feet of patients with type II diabetes
spellingShingle Functional assessment of feet of patients with type II diabetes
Cardoso, Vinicius Saura
Diabetes Mellitus
Diabetic Neuropathies
Diabetes Complications.
Diabetes Mellitus
Neuropatías Diabéticas
Complicaciones de la Diabetes.
Diabetes Mellitus
Neuropatias Diabéticas
Complicações do Diabetes.
title_short Functional assessment of feet of patients with type II diabetes
title_full Functional assessment of feet of patients with type II diabetes
title_fullStr Functional assessment of feet of patients with type II diabetes
title_full_unstemmed Functional assessment of feet of patients with type II diabetes
title_sort Functional assessment of feet of patients with type II diabetes
author Cardoso, Vinicius Saura
author_facet Cardoso, Vinicius Saura
Magalhães, Alessandra Tanuri
da Silva, Baldomero Antônio Kato
da Silva, Cristiano Sales
Gomes, Dandara Beatriz Costa
Silva, Jefferson Carlos Araujo
author_role author
author2 Magalhães, Alessandra Tanuri
da Silva, Baldomero Antônio Kato
da Silva, Cristiano Sales
Gomes, Dandara Beatriz Costa
Silva, Jefferson Carlos Araujo
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Cardoso, Vinicius Saura
Magalhães, Alessandra Tanuri
da Silva, Baldomero Antônio Kato
da Silva, Cristiano Sales
Gomes, Dandara Beatriz Costa
Silva, Jefferson Carlos Araujo
dc.subject.por.fl_str_mv Diabetes Mellitus
Diabetic Neuropathies
Diabetes Complications.
Diabetes Mellitus
Neuropatías Diabéticas
Complicaciones de la Diabetes.
Diabetes Mellitus
Neuropatias Diabéticas
Complicações do Diabetes.
topic Diabetes Mellitus
Diabetic Neuropathies
Diabetes Complications.
Diabetes Mellitus
Neuropatías Diabéticas
Complicaciones de la Diabetes.
Diabetes Mellitus
Neuropatias Diabéticas
Complicações do Diabetes.
description Objective: To evaluate the incidence of functional changes and risk of developing ulcers in type II diabetic patients seen in Primary Healthcare Units (Unidades Básicas de Saúde- UBS). Methods: A cross-sectional, quantitative and descriptive study comprising 80patients with type II diabetes mellitus (DM) aged between 41 to 85 years and attended inthe UBS in the city of Parnaíba-PI. Volunteers responded to the identification form and theMichigan Neuropathy Screening Instrument (MNSI), followed by an evaluation of the lowerlimbs, as follows: achilles and patellar reflex, palpation of arterial pulses (dorsalis pedis and posterior tibial), tactile sensitivity (Monofilament 10g) and vibration sensitivity (128Hz tuning fork); identification of the presence of changes such as ingrown toenails, calluses,claw toes and hair loss. Finally, using the information acquired from the assessment, subjects were classified according to the risk of developing wounds. Results: The sample consisted of 76 diabetic patients, with average age of 63.8 ± 10.4 years, 63 (82.8%) were female, mean diagnostic time 8.8 ± 7.2 years, average body mass index (BMI) 28.2 ± 5.4 kg/m2, with 15.7% of the sample being smokers. The myotatic reflexes and arterial pulses were reduced. Tactile sensitivity was identified in 81.5% and 13.1% did not feel the vibration of the tuning fork. The most dominant changes identified were calluses, 76.3% (n = 58). Risk level 2 of developing ulcers stood out, 52.6% (n = 40). Conclusion: Functional changes were detected in the sample and a classification of risk 2 for developing wounds was found in more than 50% of the assessed patients. doi:http://dx.doi.org/10.5020/18061230.2013.p563
publishDate 2014
dc.date.none.fl_str_mv 2014-09-05
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2329
10.5020/2329
url https://ojs.unifor.br/RBPS/article/view/2329
identifier_str_mv 10.5020/2329
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2329/pdf
https://ojs.unifor.br/RBPS/article/view/2329/pdf_1
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 26 No. 4 (2013); 563-570
Revista Brasileña en Promoción de la Salud; Vol. 26 Núm. 4 (2013); 563-570
Revista Brasileira em Promoção da Saúde; v. 26 n. 4 (2013); 563-570
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
_version_ 1808844178418827264

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